Steve Halligan

Curriculum vitae Steve Halligan MB BS MD MRCP FRCR

Medical School: Westminster, London
1987 MB BS London University
1990 MRCP Royal College of Physicians (Lon)
1995 MD London University
1995 FRCR Royal College of Radiologists

PRESENT APPOINTMENTS

April 1996 - Consultant Gastrointestinal Radiologist Level 4V, St. Mark’s Hospital,Watford Rd., Northwick Park, Harrow
April 1996 - Honorary Senior Lecturer, Department of Medicine,Imperial Medical School, London
August 1996 - Consultant Gastrointestinal Radiologist The London Clinic, 20 Devonshire Place, London W1 2DH

AWARDS & PRIZES

1994 Merck Travelling Scholarship, Royal College of Radiologists
1994 Bioglan Travelling Scholarship
1995 Flude Memorial Prize, British Institute of Radiology
"For significant advancement of the science and practice of radiology."
1997 Kodak Bursary, Royal College of Radiologists
1997 ‘Pump Primer’ Recipient, Royal College of Radiologists
1997 Sir Godfrey Hounsfield Eponymous Lecturer, British Institute of Radiology

PUBLICATIONS

MD THESIS: "Defining Evacuation Proctography" London University 1995
Supervisor Dr CI Bartram.

BOOK CHAPTERS, INVITED REVIEWS & LETTERS

• Halligan S. Rectodynamics or Fecoflowmetry? Diseases of the Colon and Rectum, 1993; 36:973

• Halligan S. Evaluation of isotope proctography in constipated subjects. International Journal of Colorectal Disease, 1993;8: 225

• Bartram CI, Halligan S. Radiological investigation of chronic inflammatory bowel disease in childhood. In: Chronic inflammatory bowel disease in childhood. Eds. JA Walker-Smith & TT Macdonald. Bailliere's Clinical Gastroenterology, Bailliere Tindall, London, 1994.

• Halligan S. Solitary Rectal Ulcer Syndrome.Radiology, 1994; 193: 879

• Halligan S. Posterior perineal hernia or posterior rectocoele? Clinical Radiology, 1994; 49: 219

• Halligan S. Image processing of fluoroscopic examinations. Clinical Radiology, 1994; 49: 219

• Halligan S. Correlation and Agreement. Clinical Radiology, 1994; 49: 658

• Halligan S, Bartram CI Review Article: The Radiological Investigation of Constipation Clinical Radiology, 1995; 50: 429-435.

• Halligan S The Benefits or Otherwise of Evacuation Proctography. Abdominal Imaging, 1995; 20: 280.

• Halligan S, Walmsley K & Rickards D. Imaging: Transrectal Ultrasonography. urrent Opinion in Urology, 1996; 6: 171-175.

• Halligan S Commentary: Imaging Anorectal Function British Journal of Radiology, 1996; 69: 985-988.

• Bartram CI, Halligan S Imaging: Contrast Studies and Ultrasound. In: Surgery of The Colon And Rectum. Eds. RJ Nicholls and RR Dozois Churchill Livingstone, London, 1997: 85-113.

• Halligan S Imaging Anorectal Function: Authors Reply. British Journal of Radiology, 1997;70:546

• Halligan S Review Article: Imaging Fistula-in-ano. Clinical Radiology, 1998;53:85-95.

• Halligan S, Bartram CI. Magnetic Resonance Imaging of Fistula-in-Ano British Journal of Surgery (in press).

PEER-REVIEWED ARTICLES

• Halligan S, McGee S and Bartram CI. Quantification of Evacuation Proctography. Diseases of the Colon and Rectum, 1994; 37:1151-1154.

• Halligan S, Jobling JC and Bartram CI. Benefit of IV Muscle Relaxants During Barium Follow Through. Clinical Radiology, 1994; 49: 179-182.

• Halligan S, Saunders BP, Thomas BM and Phillips RKS. Ischaemic Colitis in Association with Sigmoid Carcinoma. Clinical    Radiology, 1994; 49: 183-184.

• Halligan S, Nicholls S, Bartram CI and Walker-Smith JA. The Distribution of Small-Bowel Crohn's Disease in Children 
  Compared to Adults. Clinical Radiology, 1994; 49: 314-316.

• Saunders BP, Fukumoto M, Halligan S, Masaki T, Love S, Williams CB. Patient Administered Nitrous Oxide/Oxygen 
  Inhalation provides Effective Sedation and Analgesia for Colonoscopy. Gastrointestinal Endoscopy, 1994; 40: 418-421.

• Halligan S, Thomas J, Bartram CI. Intrarectal Pressures and Balloon Expulsion Related to Evacuation Proctography Gut, 1995; 31: 100-104.

• Halligan S, Nicholls RJ, Bartram CI. Proctographic Changes Following Rectopexy for Solitary Rectal Ulcer Syndrome and Preoperative Predictive Factors for a Successful Outcome. British Journal of Surgery, 1995; 82: 314-317.

• Halligan S, Bartram CI, Park HY, Kamm MA. Proctographic Features of Anismus  Radiology, 1995; 197: 679-682.
  Halligan S, Nicholls RJ, Bartram CI.  Evacuation Proctography in Patients with Solitary Rectal Ulcer Syndrome: Anatomic  Abnormalities and Frequency of Impaired Emptying and Prolapse. American Journal of Roentgenology, 1995; 164: 91-95.

• Halligan S, Sultan A, Rottenberg G, Bartram CI. Endosonography of the Anal Sphincters in Solitary Rectal Ulcer Syndrome. International Journal of Colorectal Disease, 1995; 10: 79-82.

• Halligan S, Bartram CI.Is Barium Trapping in Rectocoeles Significant? Diseases of the Colon and Rectum, 1995; 38: 764-768.

• Halligan S, Bartram CI Evacuation Proctography Combined With Positive Contrast Peritoneography to Demonstrate Pelvic Floor Hernias. Abdominal Imaging, 1995; 20: 442-445.

• Halligan S, Nicholls S, Beattie M, Saunders BP, Williams CB, Walker-Smith JA, Bartram, CI. The Role of Small Bowel
  Radiology in the Diagnosis and Management of Childhood Crohn’s Disease Acta Paediatrica Scandinavia, 1995; 84:
  1375-1378.

• Saunders BP, Halligan S, Jobling C, Fukumoto M, Moussa ME, Williams CB, Bartram CI. Can Barium Enema Indicate When Colonoscopy Will Be Difficult? Clinical Radiology, 1995; 50: 318-321.

• Saunders BP, Masaki T, Sawada T, Halligan S, Phillips RKS, Muto T, Williams CB A Peroperative Comparison of Western  and Oriental Colonic Anatomy & Mesenteric Attachments International Journal of Colorectal Disease, 1995; 10: 216-221.

• Saunders BP, Masaki T, Fukumoto M, Halligan S, Williams CB The Quest for a More Acceptable Bowel Preparation:
  Comparison of a Polyethylene Glycol/Electrolyte Solution and a Mannitol/Picolax Mixture for Colonoscopy. Postgraduate  Medical Journal, 1995; 71: 476-479.

• Halligan S, Bartram CI, Hall C, Wingate J. Enterocele Diagnosed by Simultaneous Evacuation Proctography and
  Heritoneography: Does "Defecation Block" Exist? American Journal of Roentgenology, 1996;167:461-466.

• Halligan S, Bartram CI  Is Digitation Associated With Proctographic Abnormality? International Journal of Colorectal
  Disease, 1996; 11: 167-171.

• Gattuso JM, Kamm MA, Halligan S, Bartram CI The Anal Sphincter in Idiopathic Megarectum: Effects of Manual Disimpaction Under General Anaesthetic.Diseases of the Colon and Rectum, 1996; 39: 435-439.

• Saunders BP, Fukumoto M, Halligan S, Jobling C, Moussa ME, Bartram CI, Williams CB Why Are Women More Difficult To Colonoscope Than Men? Gastrointestinal Endoscopy, 1996; 43: 124-126.

• Halligan S, Northover JMA, Bartram CI. Endovaginal Ultrasound To Diagnose Pelvic Enterocoele British Journal of
  Radiology, 1996; 69: 996-999.

• Halligan S, Spence-Jones C, Kamm MA, Bartram CI. Dynamic Cystoproctography and Physiological Testing in Women with Urinary Stress Incontinence and Urogenital Prolaspe. Clinical Radiology, 1996; 51: 785-790.

• Loder P, Watson S, Halligan S, Bartram CI, Phillips RKSP. Transperineal Repair of Symptomatic Rectocoele with Marlex Mesh: A Clinical, Physiological and Radiological Assessment of Treatment. Journal of the American College of Surgeons, 1996; 183: 257-261.

• King AD, Walshe JM, Kendall BE, Chinn RJS, Paley MNJ, Wilkinson ID, Halligan S, Hall-Craggs MA Cranial Magnetic Resonance Imaging in Wilson’s Disease. American Journal of Roentgenology, 1996; 167: 1579-1584.

• Healy JC, Halligan S, Reznek RH, Watson S, Phillips RKS, Armstrong P. Patterns of Prolapse in Women with Symptoms of  Pelvic Floor Weakness: Assessment with MR Imaging. Radiology, 1997; 203: 77-81.

• Healy JC, Halligan S, Reznek RH, Bartram CI, Watson S, Phillips RKS, Armstrong P. Dynamic Magnetic Resonance Imaging Compared to Evacuation Proctography to Evaluate Anorectal Configuration and Pelvic Floor Movement  American Journal of Roentgenology, 1997;169:775-779.

• Healy JC, Halligan S, Reznek RH, Watson S, Bartram CI, Kamm MA, Phillips RKS, Armstrong P. Dynamic Magnetic
  Resonance Imaging of the Pelvic Floor in Patients with Obstructed Defecation. British Journal of Surgery, 1997; 84:    1555-1558.

• Halligan S, Bartram CI. MR Imaging of Fistula-In-Ano: Are Endo-anal Coils the Gold Standard? American Journal of
  Radiology, 1998 (In press).

• Halligan S, Healy JC, Bartram CI. Magnetic Resonance Imaging of Fistula-in-ano: STIR or SPIR? British Journal of
  Radiology, 1998;71:141-145.

• Halligan S, Saunders BP, Williams CB, Bartram CI.  Small Bowel Crohn's Disease: Can Ileoscopy Replace Small Bowel
  Radiology? Abdominal Imaging, 1998 (In press).

• Frudinger A, Bartram CI, Halligan S, Kamm MA. Examination Techniques for Anal Endosonography. Abdominal Imaging, 1998 (In press)

• Hare C, Bartram CI, Halligan S, Harvey C, Forbes A. Doppler Ultrasound of the Superior Mesenteric Artery to Determine Activity in Crohn’s Disease. Techniques in Coloproctology, 1998 (in press)

I have published over 60 abstracts in peer-reviewed journals and spoken on more than 50 occasions since 1993, either as an invited speaker or to present original research findings. My current research interests include MR imaging applications in coloproctology, 3-dimensional anal sphincter imaging and the therapeutic impact of gastrointestinal imaging procedures.

Abstract:

Franz Bárány Föreläsning

"Imaging Techniques in Inflammatory Bowel Disease"

Dr Steve Halligan MB BS MD MRCP FRCR

After a period of relative stagnation, imaging techniques in inflammatory bowel disease have rapidly progressed in several modalities over the last few years. Conventional contrast examinations continue to be the Radiologist’s mainstay. Heated debate regarding the relative merits of barium follow-through and small bowel enema studies continues, with increasing evidence that single contrast examination using high-density barium suspensions is superior for visualisation of early mucosal lesions in Crohn’s disease. New three-dimensional electromagnetic imaging techniques are being applied to enteroclysis so that jejunal intubation for contrast administration may be possible without resorting to X-ray fluoroscopy. Enteroclysis is also being combined with simultaneous CT examination to obtain both intra- and extra-luminal information from one examination. One of the most exciting developments has been the discovery that increased superior mesenteric artery blood flow, evidenced by Doppler ultrasound, may indicate disease activity with greater precision than conventional markers. Advancing US technology also allows detailed examination of bowel wall morphology to diagnose Crohn’s disease, and Power Doppler interrogation visualises increased mural blood flow within involved loops, again possibly reflecting activity. Magnetic resonance imaging, already the gold standard for diagnosis of ano-rectal sepsis related to inflammatory bowel disease, is rapidly achieving this status in the abdomen and pelvis as well. The advent of interventional scanners and compatible needles mean that abscess aspiration and drainage can now be performed within the MR suite, rather than CT. "Virtual colonoscopy" achieved using either CT or MR may eventually replace the barium enema for diagnosis of colitis.